Individual provider Active NPI

Ava Crivelli, CRNP

  • Family Nurse Practitioner
  • Emlenton, PA
National Provider Identifier
1104713759
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP033454 Issued in PA
Practice address
516 Main Street
Emlenton, PA 16373-9300
Phone
(724) 704-4358
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN734606 PA
Family Nurse Practitioner 363LF0000X SP033454 PA Primary

Addresses

Primary practice location

516 Main Street
Emlenton, PA 16373-9300

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912000365 PA Practitioner - Nurse Practitioner 4789187097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Shenango Ave
Sharon, PA 16146-1503

Hospital & facility affiliations

  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN734606PAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Oct 6, 2025 Accepting new patients
Primary Health Network CurrentSince Oct 6, 2025 Accepting new patients
Primary Health Network Past Accepting new patients

Locations

30 Pinnacle Dr
Clarion, PA 16214
Phone (814) 223-9900

516 Main St
Emlenton, PA 16373
Phone (724) 704-4358

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

811 Grandview Rd
Ste 100
Oil City, PA 16301
Phone (814) 670-7950

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1104713759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MAIN STREET",
            "city": "EMLENTON",
            "state": "PA",
            "postal_code": "163739300",
            "telephone_number": "724-704-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIVELLI",
        "first_name": "AVA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "PA",
            "license": "RN734606",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emlenton, PA

Sources for this page

Verify at the official NPI Registry.